Suicide risk in depression and bipolar disorder: Do impulsiveness-aggressiveness and pharmacotherapy predict suicidal intent?

Neuropsychiatric Disease and Treatment
Maurizio PompiliEleonora De Pisa

Abstract

The aims of the present study were to examine clinical, personality, and sociodemographic predictors of suicide risk in a sample of inpatients affected by major affective disorders. The participants were 74 inpatients affected by major depressive disorder or bipolar disorder-I. Patients completed a semi-structured interview, the Beck Hopelessness Scale, the Aggression Questionnaire, the Barratt Impulsiveness Scale, and the Hamilton scales for depression and anxiety. Over 52% of the patients were high suicide risks. Those at risk reported more severe depressive-anxious symptomatology, more impulsivity and more hostility. Impulsivity, the use of antidepressants, anxiety/somatization, and the use of mood stabilizers (a negative predictor) resulted in accurate predicting of suicide intent. Impulsivity and antidepressant use were the strongest predictors even after controlling for several sociodemographic and clinical variables.

References

Sep 1, 1992·Journal of Personality and Social Psychology·A H Buss, M Perry
Apr 1, 1989·Journal of Consulting and Clinical Psychology·A T BeckR A Steer
Dec 1, 1967·The British Journal of Social and Clinical Psychology·M Hamilton
Feb 1, 1993·Journal of Affective Disorders·D Lester
Nov 1, 1995·Journal of Clinical Psychology·J H PattonE S Barratt
Mar 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·E C Harris, B Barraclough
Apr 16, 1998·The British Journal of Psychiatry : the Journal of Mental Science·H M InskipB Barraclough
Mar 17, 1999·Psychological Medicine·M M WeissmanE K Yeh
Jul 13, 1999·Archives of General Psychiatry·R C KesslerE E Walters
Jul 27, 2000·The British Journal of Psychiatry : the Journal of Mental Science·A BrodersenP B Mortensen
Sep 27, 2000·European Psychiatry : the Journal of the Association of European Psychiatrists·E SzádóczkyJ Füredi
Dec 1, 2000·The American Journal of Psychiatry·J B PotashJ R DePaulo
Jul 14, 2001·The British Journal of Psychiatry. Supplement·L TondoG Floris
Aug 24, 2001·Pharmacopsychiatry·B Ahrens, B Müller-Oerlinghausen
Dec 14, 2002·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Heinz GrunzeUNKNOWN World Federation of Societies of Biological Psychiatry Task Force on Treatment Guidelines for Bipolar Disorders
Apr 2, 2003·The American Journal of Psychiatry·Arif KhanWalter A Brown
May 20, 2003·CNS Drugs·Leonardo TondoRoss Baldessarini
Sep 18, 2003·JAMA : the Journal of the American Medical Association·Frederick K GoodwinDennis Revicki
Jan 1, 1959·The British Journal of Medical Psychology·M HAMILTON
Feb 1, 1960·Journal of Neurology, Neurosurgery, and Psychiatry·M HAMILTON
Jan 2, 2004·The American Journal of Psychiatry·Mark S Bauer, Landis Mitchner
Jul 22, 2004·JAMA : the Journal of the American Medical Association·Hershel JickSusan S Jick
Jan 1, 2005·BMJ : British Medical Journal·Richard Smith
Apr 9, 2005·The Journal of Clinical Psychiatry·William Coryell, Elizabeth A Young
Jun 18, 2005·The Journal of Clinical Psychiatry·Keith HawtonLouise Harriss
Oct 26, 2005·International Journal of Psychiatry in Medicine·Maurizio PompiliRoberto Tatarelli
Jan 5, 2006·The American Journal of Psychiatry·Gregory E SimonPhilip S Wang
Feb 28, 2006·European Child & Adolescent Psychiatry·Lars SøndergårdLars V Kessing
Mar 8, 2006·Archives of General Psychiatry·Ross J BaldessariniLeonardo Tondo
Dec 5, 2006·Current Opinion in Psychiatry·Zoltán Rihmer
Mar 29, 2007·The Journal of Clinical Psychiatry·Francesca GuzzettaRoss J Baldessarini

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Citations

Aug 29, 2012·Journal of Affective Disorders·Karen E SchaeferJohn H Riskind
Jan 22, 2013·Suicide & Life-threatening Behavior·Nigel E BushGregory A Gahm
Nov 15, 2012·Journal of Forensic Sciences·Claudio Terranova, Daniela Sartore
Oct 13, 2009·Journal of Affective Disorders·Martin JandlWolfgang P Kaschka
Nov 26, 2013·Journal of Affective Disorders·Lin ChenTian-Mei Si
Jun 2, 2009·Journal of Psychiatric Research·Ina GieglingAlessandro Serretti
Feb 9, 2017·Comprehensive Psychiatry·Ahmed A MoustafaBłażej Misiak
Jun 29, 2017·The Journal of Nervous and Mental Disease·Jonathan ReinharthMark Serper
Apr 19, 2012·The Australian and New Zealand Journal of Psychiatry·Carissa M CoulstonGin S Malhi
Jun 9, 2017·American Journal of Epidemiology·Christopher J PhillipsMartin R White
Aug 4, 2018·Suicide & Life-threatening Behavior·Eric ClaphamJohan Reutfors
Dec 24, 2008·Expert Review of Neurotherapeutics·Maurizio PompiliRoberto Tatarelli
Feb 11, 2015·European Child & Adolescent Psychiatry·Seog Ju KimYu Jin Lee
Sep 9, 2010·Suicide & Life-threatening Behavior·Nicole S BellAshley B Kay
Sep 7, 2016·Current Psychiatry Reports·Hilario Blasco-FontecillaJose de Leon
Sep 25, 2019·International Journal of Environmental Research and Public Health·Yawei GuoJian Wang
Jan 5, 2011·Suicide & Life-threatening Behavior·Sylwia FudalejRafal Ploski
Aug 6, 2019·Frontiers in Psychiatry·Alina WilkowskaWiesław J Cubała
Dec 3, 2015·European Archives of Psychiatry and Clinical Neuroscience·Niki AntypaAlessandro Serretti
May 20, 2016·Current Psychiatry Reports·Faryal Mallick, Cheryl B McCullumsmith
Jul 13, 2020·Psychiatry Research·Gianluca SerafiniMario Amore
Jun 2, 2021·Comprehensive Psychiatry·Luca PellegriniUmberto Albert
Mar 4, 2021·Journal of Psychiatric Practice·Louisa G SylviaAndrew A Nierenberg

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pharmacotherapy

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